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[异步双胎分娩。病例报告及产科管理回顾]

[Asynchronous twin births. Case report and obstetric management review].

作者信息

Magdaleno-Dans F, López-Magallón S, Sancha-Naranjo M, De la Calle M, Bartha José L

出版信息

Ginecol Obstet Mex. 2016 Jan;84(1):53-9.

PMID:27290847
Abstract

BACKGROUND

The incidence of multiple pregnancy has increased in the last years. These pregnancies are associated with more obstetric complications regarding single pregnancies, one of the most important is prematurity. In extremely rare cases premature delivery of one fetus may occur, being retained in the uterine cavity the second fetus until birth later, producing the so-called delayed delivery of twins.

CASE REPORT

We report the case of a double twin pregnancy with delayed delivery of the second fetus after birth of the first one within 22.6 weeks of gestation and the second one birth at at 24 weeks of gestation, eight days later after the first one. A review of cases published in the literature is performed and the obstetric management of delayed delivery discussed.

摘要

背景

近年来,多胎妊娠的发生率有所上升。这些妊娠与单胎妊娠相比,会出现更多的产科并发症,其中最重要的之一是早产。在极少数情况下,可能会出现一个胎儿早产,而第二个胎儿留在子宫腔内直至晚些时候出生,即所谓的双胎延迟分娩。

病例报告

我们报告一例双胎妊娠病例,在妊娠22.6周时第一个胎儿出生,第二个胎儿延迟至8天后的妊娠24周出生。本文对文献中已发表的病例进行了回顾,并讨论了双胎延迟分娩的产科处理。

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1
[Asynchronous twin births. Case report and obstetric management review].[异步双胎分娩。病例报告及产科管理回顾]
Ginecol Obstet Mex. 2016 Jan;84(1):53-9.
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引用本文的文献

1
Delayed Interval Delivery in Preterm Premature Rupture of Membranes in Dichorionic Triamniotic Triplets: Ethical Considerations for Maternal Health Case Report.双绒毛膜三羊膜囊三胞胎早产胎膜早破的延迟间隔分娩:对孕产妇健康的伦理考量病例报告
Case Rep Obstet Gynecol. 2022 Jul 21;2022:4766523. doi: 10.1155/2022/4766523. eCollection 2022.
2
Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes.第二对双胞胎延迟分娩:双羊膜双绒毛膜双胎妊娠合并极早早产胎膜早破的病例报告及文献综述
Case Rep Womens Health. 2019 Mar 19;22:e00104. doi: 10.1016/j.crwh.2019.e00104. eCollection 2019 Apr.
3
Obstetric Management of Delayed-Interval Delivery.
延期分娩的产科管理
Case Rep Womens Health. 2017 Sep 30;16:11-13. doi: 10.1016/j.crwh.2017.09.002. eCollection 2017 Oct.